中华耳科学杂志Issue(1)：10-13,4.DOI:10.3969/j.issn.1672-2922.2013.01.003
听神经瘤的显微外科切除及治疗策略探讨
Microsurgical Resection and Strategies in the Management of Vestibular Schwannomas
张军 1许百男 1侯远征 1孙国臣 1姜燕1
作者信息
摘要
Abstract
Objective To study operative nuances in the microsurgical resection of vestibular schwannomas and preservation of facial and cochlear functions and to discuss treatment strategies in the management of vestibular schwanno⁃mas. Methods Two hundred and twenty-one patients with unilateral vestibular schwannomas treated between October 2008 and April 2012 were included. One hundred and eighty-three cases (82.8%) had large vestibular schwannmas. The sub-oc⁃cipital retrosigmoid approach was selected and intraoperative monitoring of the facial and trigeminal nerves and auditory brainstem responses (ABR) was used in all cases. Results Total or near total tumor resection was achieved in 199 cases (90%), and sub-total resection in 22 cases (10%). The anatomical integrity of the facial nerve was preserved in 91%of the cases. At last follow-up, 82.8%of all patients had excellent or good facial nerve function, and 33%of patients with good preoperative hearing levels had hearing preservation postoperatively. Conclusion Large vestibular schwannomas can be suc⁃cessfully treated with microsurgical resection. Treatment strategies should be individualized. The purpose of treatment should focus on patients’s quality of life.关键词
听神经瘤/显微手术/治疗策略Key words
vestibular schwannoma/microsurgery/treatment strategy分类
医药卫生引用本文复制引用
张军,许百男,侯远征,孙国臣,姜燕..听神经瘤的显微外科切除及治疗策略探讨[J].中华耳科学杂志,2013,(1):10-13,4.
